[1]迪丽娜尔·艾尔肯,马 乐,古丽努尔·阿吾提.半导体激光辅助治疗下颌磨牙Ⅱ度根分叉病变的临床疗效评价[J].中国美容医学,2023,(4):147-151.
　Dilinaer ·AIERKEN,MA Le,Gulinuer·AWUTI.Clinical Evaluation of the Diode Laser in the Treatment of Periodontal Degree Furcation Involvement?/html>[J].Medical Aesthetics and Beauty,2023,(4):147-151.
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半导体激光辅助治疗下颌磨牙Ⅱ度根分叉病变的临床疗效评价()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年4期
页码:
147-151
栏目:
出版日期:
2023-04-10

文章信息/Info

Title:
Clinical Evaluation of the Diode Laser in the Treatment of Periodontal Degree Furcation Involvement?/html>
文章编号:
1008-6455（2023）04-0147-04
作者:
迪丽娜尔·艾尔肯1 ; 马 乐1 ; 古丽努尔·阿吾提1; 2
[1.新疆医科大学第一附属医院（附属口腔医院）牙周黏膜科 新疆 乌鲁木齐 830054；2.新疆维吾尔自治区口腔医学研究所 新疆 乌鲁木齐 830054]
Author(s):
Dilinaer ·AIERKEN1 ; MA Le1 ; Gulinuer·AWUTI1; 2
[1.Department of periodontal and Mucosal,the First Affi liated Hospital of Xinjiang Medical University(the Affi liated Stomatology Hospital of Xinjiang Medical University),Urumqi 830054,Xinjiang,China; 2.Stomatology Disease Institute of Xinjiang Uyghur Autonomous Region,Urumqi 830054,Xinjiang,China]
关键词:
半导体激光; 牙周非手术治疗; 慢性牙周炎; 根分叉病变; 下颌磨牙
Keywords:
diode laser;  non-surgical treatment;  chronic periodontitis;  furcation involvement;  mandibular molar
分类号:
R781.3
文献标志码:
A
摘要:
目的：评估半导体激光辅助治疗下颌磨牙Ⅱ度根分叉病变的临床疗效。方法：纳入选取2022年1月-2022年3月就诊 于笔者医院的40例下颌磨牙Ⅱ度根分叉病变患者（共40颗患牙），以随机数字表法分为两组。对照组单纯行龈下刮治和根 面平整术(Subgingival scaling and root planing,SRP)，试验组在对照组治疗基础上，行SRP前后均使用980 nm半导体 激光行袋内照射。以超声龈上洁治术后1周为基线，比较两组治疗后即刻疼痛程度，治疗后8周、12周、24周的牙周临床指 标[牙周袋探诊深度（Pocket depth,PD）、出血指数（Bleeding index,BI）、临床牙周附着丧失（Clinical attachment loss,CAL）、牙周袋水平探诊深度(Horizontal probing depth,HPD)]及术前和术后24周影像学指标[水平骨丧失（Bone loss in the horizontal direction,BL-H）、垂直骨丧失（Bone loss in the vertical direction,BL-V）]。结果：治疗后 即刻试验组疼痛评分低于对照组，差异有统计学意义（P＜0.05）。与基线相比,两组治疗后8周、12周、24周各项牙周临床指 标和影像学指标显著改善。两组患者在治疗后8周、12周、24周BI和PD水平均低于基线水平，差异有统计学意义（P＜0.05）； 试验组PD在治疗后12周、24周低于对照组，差异有统计学意义（P＜0.05）；治疗后8周、12周、24周两组HPD均显著改 善，实验组HPD低于对照组，差异有统计学意义（P＜0.05）。两组的BI和CAL比较差异无统计学意义（P＞0.05）。 两组患者治疗后24周BL-H均低于基线水平，差异有统计学意义（P＜0.05），试验组BL-H低于对照组，差异有统计学意义 （P＜0.05）；治疗后两组BL-V均降低，但差异无统计学意义（P＞0.05）。结论：半导体激光在辅助SRP治疗下颌磨牙Ⅱ度 根分叉病变时，能减少SRP治疗的疼痛感，有效降低牙周袋探诊深度，增加附着水平，是对根分叉病变牙周非手术治疗方案 的有效补充，是一种安全、舒适、有效的辅助治疗方法。
Abstract:
Objective To evaluate the clinical effi cacy of diode laser in the treatment of chronic periodontitis with periodontal degree Ⅱ furcation involvement in mandibular molars. Methods Forty patients (40 teeth) with chronic periodontitis with mandibular molar periodontal degree Ⅱ furcation involvement who attended the author’s hospital from January 2022 to March 2022 were selected and randomly divided into two groups by random number table method. The control group was treated with subgingival scaling and root planing SRP alone, while the experimental group was treated with 980 nm diode laser before and after SRP.At one week after ultrasonic scaling as a baseline, the two groups were compared for immediate post-treatment VAS score, periodontal clinical indicators at 8, 12 and 24 weeks post-treatment [pocket depth (PD), bleeding index (BI), clinical attachment loss (CAL),horizontal probing depth (HPD)] and preoperative and 6-month postoperative imaging indices [bone loss in the horizontal direction (BL-H), bone loss in the vertical direction (BL-V)]. Results The VAS score was signifi cantly lower in experimental group than in control group (P ＜0.05).Both treatments signifi cantly reduced the periodontal clinical indexes and imaging indexes in the diseased teeth with periodontal degree Ⅱ furcation involvement.BI and PD were lower than baseline levels at 8, 12 and 24 weeks after treatment in both groups, with statistically signifi cant diff erences (P ＜0.05).The reduction of PD in the experimental group at weeks 12 and 24 was signifi cantly than control group (P ＜0.05). Also,the reduction of HPD in the experimental group at 8, 12 and 24 weeks after treatment was statistically compared to the control group (P ＜0.05). However,there was no diff erence in BI and CAL between the two groups (P ＜0.05). At 24 weeks after treatment, the level of BL-H in the experimental group was statistically lower than the control group(P＜0.05), while there was no significant diff erence of BL-V between the two groups(P ＞0.05). Conclusion Diode laser is a safe, comfortable, and clinically eff ective means when assisting SRP in the treatment of periodontal degree Ⅱ furcation involvement.

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更新日期/Last Update: 2023-05-16